Why the need for our services
Billing management - For many companies, the single most
compelling reason for outsourcing is that several of the
'how' types of issues (i.e. coding & review, follow
up, hardware/software, ancillary services, etc.) are siphoning
off vast amounts of management's time and attention. Too
often, the resolutions of these issues are stuck in a middle
management 'decision gridlock.' This creates a financial
and opportunity cost that will affect the organization's
future.
Employee management - PBI relieves physician's
offices of frequent employee turnover in billing management
and/or clerks.
Today's healthcare environment - Complex
federal and private payer regulations and updates (HIPAA,
CPT, ICD-9, Credentialing, etc).
Hospital practice spin-offs - Many hospitals have
purchased physician practices and failed at operating them.
They are now searching for assistance in transitioning
these practices back to private offices and need the type
of services provided by PBI to effect that transition.
Efficient billing software - Necessitates a substantial
capital expense ($25K to $30K). Upgrades and adjustments
are essential in maintaining the ever-changing requirements
of insurance carriers in order to preserve a competent
practice management system.
PBI's technological edge - Electronic
claims filing directly to Medicare, Medicaid, Blue Cross
and up to 500 other carriers through our alliance partner;
precise electronic payment posting for Medicare, Blue Cross
and up to 500 other payers, decreasing the amount of time
a charge remains in insurance status; daily electronic
statement processing that allows the patient to receive
a bill before they forget which physician treated them
and for what reason they were treated.
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